Article

We aimed to reach consensus among professionals caring for prosthesis
users, on definitions of biomedical and psychosocial factors, to assess their
influence on fit of transtibial prosthesis and to identify new factors. METHOD: A
three-round, internet-based, Delphi survey was conducted among experts recruited
via the Dutch National Amputee and Prosthesis Work Group.
The main outcome
measure was consensus among care professionals on statements concerning new and
presented biomechanical and psychosocial factors that influence transtibial
prosthesis fit. RESULTS:
Fifty-four experts participated in the survey, and
consensus was reached on 67% (46/69) of all statements. Consensus on statements
relevant for good prosthesis fit was reached in most of the statements concerning
psychosocial factors and on statements concerning the biomedical factors
"prosthesis support and suspension". Least consensus was reached on statements
concerning the biomedical factor "skin problems and pain in the residual limb".
CONCLUSIONS: Biomedical and psychosocial factors influence transtibial prosthesis
fit. Consensus was reached among care professionals in a majority of the
presented statements concerning these factors. Implications for Rehabilitation
Prosthesis fit and comfort is suboptimal in many prosthesis users. Both
biomedical and psychosocial factors influence fit. Biomedical and psychosocial
factors should be checked during transtibial prosthesis prescription to achieve
and maintain an optimal fit. Consensus on many factors influencing prosthesis fit
is achieved among care professionals. Consensus was largest regarding prosthesis
support and suspension and least regarding skin problems and pain in the residual
limb. This consensus contributes to systematic assessment of prosthesis fit.

Langue : ANGLAIS